HomeMy WebLinkAbout042-160-0401
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042-16-0-040 r'-"00- 57 L� — - - 2-16-4 ``"'"
COLBIE, CARL & R_ � ,.
1934 W.SA�CRAME NE near Glenwomi & West Sacramento Ave
i CONTR: G& r OOFING > Chico
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COUNTY OF BUTTE - DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISION -
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 , -PERMIT NO.
/4117
(Rev. 12/96) APPLICATION AND PERMIT `'
ASSESSOR PARCEL NUMBER
042 160. 04,0
ZONING
BUILDING PERMIT
OWNER
CART, ° RTMT COT RJr
TELEPHONE
'343-1768
SO. FT. OCC. BUILDING VALUATION
24 1 440
OWNERS MAILING ADDRESS
1934 w. WRAWN"M AVF. , (PICO. CA 95973
CONTRACTOR'S NAME
C :�- R ROOFING
TELEPHONE
OONTRAc (�4nv,i r,,)I`TT
!ITADF 5502. CHTC0, CA 95973 '
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING Dji S
y3 a. WRAWM AVE., CTITCO
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.0023.00
USEOFSTRUCTURE
SF 13 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or hest um water heater
Water piping 15.00
Each gas water heater or vent 15.00.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE -ROOF WIT►? CO".
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
OOOV OR LE
Main Service p A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class (� Lic. No {r
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, army employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
fjl 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers',compensation insurance carrier and policy number are:
Carrier :\—) )L,-/ 1/ // r/ (
Main Service 200AWEE TO lOooA 46.00
NEW CONST. DELLNJGOCCUP. SG
OR ADDNS. a ACC. BLOB. 3.5¢x.
ONST-
NPµ.... MULTI.OUTLET 97,50
POWER APPARATUS
a SINGLE our. CSI R.
Ex, OCCU OUTLET OR FIXTURES BAL �';�
..FIXED APPLNS. OR 5.00
Ex. Occup.ourLErs RESIO. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
--00 ling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number `7 / - / Z, 400) Y /.�r
(The above sections need not be corrpletedd if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X - Z// !i . _ / Date ,:i4
Signature of Applicant - ❑ Owner 'Kontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 55.00
�HZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PO
HD
ISSUE
This it is hereby issued under the applicable provisions
of tfie tte CounfnCocle and/or Resolutions to do work
ind icate above r i fe have been paid.
/ ']
139 fe J /;� J
PERMIT EXPIRES ON /�
Dafe f ♦ /" /
Receipt No. /y `� 4
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,tN
PCONTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
� 7 C$unty Center Drive • Oroville, California 95965 • Telephone (530) 538-754 T NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-160-040
ZONING
BUILDING PERMIT
OWNER
CARL & RUTH COLBIE
TELEPHONE
343-1768
SO. FT. OCC. BUILDING VALUATION
24 1 440
. OWNERS MAILING ADDRESS
1934 W. SACRAMENTO AVE. CHICO CA 95973
CONTRACTOR'S NAME
G & R ROOFING
TELEPHONE
CONTRACy�,S�AAI�BQpgESSADE #503, CHICO, CA 95973
�JLA�
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1934 W. SACRAMENTO AVE., CHICO
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF q( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE -ROOF WITH COMP.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z°OA OR IESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.( /�
License Class Lic. No. 7
WNER-BUILDER DSC• ARATIIN
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BUDS.
so
3.5¢FT.
,,D" H'.R °SIP MULTI.OUT u
97.50
POWER APPARATUS
6 SINGLE OIIILEr CIR.
ounFroRFaTUREs
Ex. Occup.SAL
20°'•00
@ .50
LNS
Ex. Occup. GF11uT R D,°E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My worker ' pen ation i uranc carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number — !O
(The above sections need not be completed i the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date
Signature of Applicant - ID Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.00
HAZ.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PO
HD
ISSUE
ghmlt is hereby issued under the applicable provisions
tteCou Coe and/or Resolutions to do work
above r i fe have been paid.
e
v
PERMIT EXPIRES ON
et
Receipt No. 294954 $55.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
}
Cf3�,JNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
` 7•Gbunty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
:1ev.12/96) - APPLICATION AND PERMIT
ASSESSORPARCELNUMBER 1&0 0 ZOMNa BUILDING PERMIT
Own— . 0 N OfL . _ �7/,/a_ SO. Fr,OCC. BUILDING VALUATION
LENDER
LENDER'S MHUNG ADDRESS
Fireplace I I'
Main Service 22ow op LES 23.00
-
!/ GGG
•
-
-
Main Service 200A TO 1000A 46.00
Total Valuatlon Is
NE1V CONS .
NON-RESfO. MULTbOIITLEr CQ 7.50
ARCHITECT OR ENGINEER
UCEfSE NO.
Filinq Fee
S
Mobile Home Facilities 20.00
20.00
Permit Fee
$
MECHANICAL PERMIT Fling Fee 20.00
Heating
ARCHITECT OR ENCMC`MRs MAILING ADDRESS
Plan Checking Fee
b
BUILOINGAODRESS ,
Energy Plan Checking Fee
$
-
1
S
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Feel
20.00
USEOFSTRUCTURE
_ f
SF p Duplex ❑ Mobilehome ❑ Other
SPEC"
Each Trap
7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent
15.00
• TYPE OF WORK
,p�
New ❑ Addition ❑ Remodel �jI Utilities ❑ Installation ❑ Other ❑
Describe Work: , 474 r.Ae1! p 42
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee
20.00
ai�f �szF ss�--
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEES �S .—
LLAZ D. FEES WP FLOOD COF 1. PARCEL I PD ND i ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By __ _ Date
Main Service 22ow op LES 23.00
-
!/ GGG
•
-
-
Main Service 200A TO 1000A 46.00
NEW CONST'DWETIJNG OCCUP. 3.5Cso.
OR ADONS. ( 8 ACC. BLDS. FT.
NE1V CONS .
NON-RESfO. MULTbOIITLEr CQ 7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
EX. Occup. OVnET OR F=LmEs BAL O I.00 .50
Ex. OCCU 7,E APPUSESID. . ORE
OUTLETS A S.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Usc. Wiring 23.00
PERMIT FEE i
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
ai�f �szF ss�--
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEES �S .—
LLAZ D. FEES WP FLOOD COF 1. PARCEL I PD ND i ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By __ _ Date